| NPI | 1952405961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEWIS PHILIIPS President 307-264-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ME 011906) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2019-05-14 |